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Updated: Jun 29, 2026

Multiplexed Fluorescent Immunohistochemical Staining of Four Endometrial Immune Cell Types in Recurrent Miscarriage
Published on: August 4, 2021
MHC class II expression and antigen presentation by human endometrial cells
P K Wallace1, G R Yeaman, K Johnson
1Department of Microbiology, HB7556, Dartmouth Medical School, 1 Medical Center Drive, Lebanon, NH 03756, USA. pkw@dartmouth.edu
Isolated human endometrial epithelial cells can present antigens to T cells, a finding significant for understanding reproductive tract immunity. These cells may also transport antigens to stromal immune cells.
Area of Science:
- Immunology
- Reproductive Biology
- Cell Biology
Background:
- Previous studies showed mixed reproductive tract cells present antigens.
- Antigen presentation by isolated female reproductive tract epithelial cells was not previously investigated.
Purpose of the Study:
- To investigate antigen presentation by isolated human endometrial epithelial cells.
- To determine if endometrial epithelial cells express MHC class II and can process/present antigens.
Main Methods:
- Freshly isolated endometrial epithelial cells were analyzed for MHC class II expression.
- Epithelial cells were cultured with interferon gamma (IFNγ) to assess upregulation.
- Highly purified epithelial cells were used to present tetanus toxoid antigen to autologous T cells.
- Antigen presentation capacity was assessed by T cell proliferation.
Main Results:
- Endometrial epithelial cells constitutively express MHC class II.
- Interferon gamma (IFNγ) upregulated MHC class II on cultured epithelial cells.
- Isolated endometrial epithelial cells processed and presented tetanus toxoid antigen, inducing T cell proliferation.
- Sub-epithelial stromal cells also demonstrated potent antigen-presenting capabilities.
Conclusions:
- Isolated endometrial epithelial cells can directly process and present antigens to T cells.
- These epithelial cells may play a role in antigen transcytosis and delivery to stromal antigen-presenting cells.
- Endometrial epithelial cells are active participants in the immune surveillance of the female reproductive tract.
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